Thomas v. Allstate Vehicle & Property Insurance Company et al
Filing
29
MEMORANDUM OPINION AND ORDER granting 25 Motion for Summary Judgment. Plaintiffs claims against the defendant are dismissed with prejudice. Signed by District Judge Louis Guirola, Jr. on 11/7/17. (RLW)
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF MISSISSIPPI
SOUTHERN DIVISION
WALTER THOMAS, JR.
PLAINTIFF
v.
CAUSE NO. 1:17CV64-LG-RHW
ALLSTATE VEHICLE & PROPERTY
INSURANCE COMPANY, ET AL.
DEFENDANTS
MEMORANDUM OPINION AND ORDER
GRANTING MOTION FOR SUMMARY JUDGMENT
BEFORE THE COURT is the [25] Motion for Summary Judgment filed by
Defendant Allstate Vehicle and Property Insurance Company. Allstate argues it is
entitled to summary judgment because there is no question of material fact that
Plaintiff Walter Neil Thomas, Jr., failed to cooperate in Allstate’s investigation of
the fire causing a loss at Thomas’ insured premises. Thomas has responded in
opposition, and Allstate has replied. After due consideration of the submissions and
the relevant law, it is the Court’s opinion that Allstate has shown there is no
question of material fact for the jury, and that Mississippi law compels judgment in
its favor. Accordingly, the Motion for Summary Judgment will be granted and
Thomas’ claims dismissed.
BACKGROUND
Thomas alleges that he applied for and purchased the Allstate insurance
policy at issue in this case in January, 2016. (Compl. Ex. B, ECF No. 1-2). Shortly
after the policy became effective on January 12, 2016, Thomas arrived at the
insured property and discovered the front door open with a broken window, and
water spreading throughout the property. (Id. at 3). He called a plumber and the
Jackson County Sheriff’s Office to report the apparent break-in. When he and the
plumber climbed into the attic, they discovered that something had caught fire.
(Id.). The fire caused more than $40,000 in damage to the property. (Id.).
Thomas made a claim for payment under the policy, which Allstate denied by
letter dated July 13, 2016. (Notice of Removal Ex. 2, ECF No. 1-3). The reasons for
denial were:
It is Allstate’s position that the circumstances surround[ing] the fire
are suspicious as incendiary in origin, and that there are questions
concerning the circumstances surrounding the procurement of the
coverage for the property in question. It is Allstate’s position that you
have failed to cooperate with its investigation [of] the claim, both in
refusing to submit to an examination under oath in the matter, [and]
failing/refusing to produce documentation requested related to
Allstate’s investigation of the claim.
(Id. at 1).
Thomas filed this lawsuit in Jackson County Circuit Court, alleging that
Allstate and the insurance agent breached the insurance contract and acted in bad
faith by refusing to pay for the fire damage. Allstate removed the case to this
Court. Subsequently, this Court denied Thomas’ Motion to Strike and/or Remand,
and dismissed Thomas’ claims against the insurance agent. (See Order, ECF No.
15). Allstate’s Motion for Summary Judgment requests that all of Thomas’
remaining claims be dismissed.
DISCUSSION
Thomas states that the insured property was a house he had just finished
building with his two partners and listed for sale. It was unoccupied at the time of
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the fire, and there is no dispute that the cause of the fire was arson. (Def. Mot. Ex.
3, at 4, ECF No. 25-3). Thomas contends that the arson was the act of a vandal,
while Allstate wished to conduct an investigation into Thomas’ financial
circumstances to determine if he had a motive to commit arson. Thomas argues
that he provided two recorded statements to Allstate, and each of Thomas’ partners
provided statements as well. Thomas refused, however, to execute an authorization
form allowing Allstate to obtain information about him from third parties such as
employers, mortgagees, banks, credit bureaus, insurance companies, the IRS, and
the police. Thomas believed this authorization was unreasonably intrusive and
broad. Thomas did agree to make a statement under oath, until he was required to
bring personal financial records, records of payments made for construction of the
property, federal and state income tax records, credit card and bank statements, a
full financial statement, and personal cell phone records for a month prior to the fire
and forty-eight hours after. (Def. Mot. Ex. 6, ECF No. 25-6). At that point,
Thomas’ counsel threatened a lawsuit for bad faith. (Def. Mot. Ex. 7, ECF No. 257). Counsel advised that “Mr. Thomas will not be giving a further statement due to
the excessive conditions for same demanded from the underwriter. He will be
available for deposition after suit is filed.” (Def. Mot. Ex. 9, ECF No. 25-9). After
two letters reiterating Allstate’s desire to obtain the requested documentation from
Thomas and complete its investigation, counsel advised Allstate that Thomas would
provide an affidavit attesting to the statement he had already given to Allstate, but
nothing more. (Def. Mot. Ex. 10, 11, 12, ECF Nos. 25-10, 25-11, 25-12). Shortly
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thereafter, Allstate formally denied the claim. (Def. Mot. Ex. 13, ECF No. 25-13).
The insurance policy provision at issue required Thomas to “give [Allstate] all
accounting records, bills, invoices and other vouchers or certified copies which we
may reasonably request to examine and permit us to make copies.” (Def. Mot. Ex. 2,
at 27, ECF No. 25-2) (ECF pagination). Additionally, Thomas was required to
submit to examination under oath as often as Allstate reasonably required. (Id.).
Failure to comply subjected Thomas to the possibility of denial of coverage if the
failure was prejudicial to Allstate. (Id.). Allstate contends that Thomas’ refusal to
comply with the insurance policy terms was prejudicial because it was unable to
complete its investigation.
Thomas contends that Allstate has no reason to suspect him of setting the
fire because he “had no debt on the property, [ ] the property had been on the
market for a very short period of time, and [ ] the repairs were paid for quickly (by
the insured out-of-pocket) and with the home returned to the market and sold
without gain.” (Pl. Resp. Mem. 3, ECF No. 27). Thomas argues that Allstate cannot
explain why it still needs to see his personal and financial records when he is not
suspected of arson. (Id.). Further, Thomas contends that Allstate is not proceeding
in good faith because it has not taken him up on his offer of a deposition after this
lawsuit was filed. He argues that the reasonableness of Allstate’s documentation
requirements is a jury issue that cannot be determined on summary judgment.
In McPhail v. State Farm Fire and Casualty Company, 992 F.2d 325 (5th Cir.
1993), the Fifth Circuit applied Mississippi law to similar arguments in the context
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of a fire loss. The policy language was also similar, in that it required the insured
to “provide us with records and documents we request and permit us to make
copies,” “as often as we reasonably require.” McPhail, 992 F.2d at *1. The plaintiff
argued that his refusal to provide requested financial documents was reasonable, he
had substantially complied with the policy terms, and a jury should “decide the
reasonableness of his refusal and the effect of his compliance.” Id., at *2. The court
rejected all of these arguments, first noting that with regard to insurance
investigations, the Mississippi Supreme Court takes a broad view of materiality.
Id. The court then held that “[w]hether the requests are material is a question of
law for the court, not a jury, to determine.” Id. at *3. Finally, the court noted wellestablished Mississippi law that “[i]nformation about the financial condition of an
insured is pertinent to an insurance investigation probing the possibility of arson.”
Id. The court held that the request for credit card, bank account, real property, and
loan application records was “reasonable, as they all were related to determining
whether McPhail’s financial status might have provided him with a motive for
committing arson.” Id. at *4.
More recently, the Mississippi Court of Appeals stated that “[t]he law in
Mississippi is clear that an insurance policy is rendered void by the insured’s failure
to submit to an examination under oath. Furthermore, an insured’s failure to
provide financial information constitutes a material breach of the insurance
contract and also voids coverage.” Mullen v. Miss. Farm Bureau Cas. Ins. Co., 98
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So. 3d 1082, 1087 (Miss. Ct. App. 2012) (citations omitted). However, the court held
that these principles apply where there is a willful refusal to comply with the policy
provisions, not when the insured had complied and indicated willingness to
continue to comply with the policy provisions. Id. at 1089. In Mullen, the insured
requested policy language and case law before submitting to an examination under
oath, but she consistently advised the insurer that she was willing to cooperate
during the investigation of her claim and she never refused to comply with the
terms and conditions of the policy.
Thomas points to a federal district court decision after Mullen, in which the
court denied summary judgment to the insurer. The court held that the insured
had raised a question of fact whether coverage should be voided because she
contended “she provided all her agent requested and that she has now offered all
that is available.” Glinsey v. Allstate Prop. & Cas. Ins. Co., No.
3:11CV218-DPJ-FKB, 2012 WL 1458226, at *5 (S.D. Miss. Apr. 27, 2012). The
court determined that a jury should assess the willfulness of the insured’s
noncompliance.
The Court finds both Mullen and Glinsey to be distinguishable. There is no
question regarding willfulness in this case because Thomas was unequivocal in his
refusal to comply with the provisions of the policy requiring him to submit to an
examination under oath and to provide the requested records. The facts here are
similar to those in Holt v. Victoria Fire & Casualty Company, where the insured
repeatedly told the insurer that he was not willing to submit to a second
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examination under oath and that he was not willing to provide the requested
financial documentation. See Holt v. Victoria Fire & Cas. Co., No.
3:15-CV-077-CWR-LRA, 2016 WL 796676, at *4 (S.D. Miss. Feb. 26, 2016). The
court found those actions to constitute a willful refusal to cooperate. Id. (citing
Archie v. State Farm Fire & Cas. Co., 813 F. Supp. 1208, 1213 (S.D. Miss. 1992)
(granting summary judgment in favor of insurer where the insurer advised plaintiff
of his obligation to submit to a sworn examination on several occasions and where
plaintiff chose not to submit to the examination but to file a lawsuit instead). The
insured’s willful refusal to comply with the terms of the insurance policy voided
coverage.
Mississippi courts hold that an examination under oath and records such as
those requested by Allstate are material to an insurer’s arson investigation. See,
e.g., Monticello Ins. Co. v. Mooney, 733 So. 2d 802, 808 (Miss. 1999) (“[T]he simple
act of answering questions concerning her financial position could not provide
sufficient information to make a determination as to any possible monetary motive
underlying the fire. In short, the insurers were entitled to reliable documentation
to support and supplement Mooney’s answers.”). It was reasonable for Allstate to
require Thomas to provide information that was material to its arson investigation.
Accordingly, there is no question that Thomas had a duty to submit to an
examination under oath and provide the requested records under the terms of the
policy. Thomas’ failure to do either voided the policy. Allstate did not breach its
insurance contract or deny in bad faith insurance benefits to which Thomas claims
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he was entitled.
IT IS THEREFORE ORDERED AND ADJUDGED that the [25] Motion
for Summary Judgment filed by Defendant Allstate Vehicle and Property Insurance
Company is GRANTED. Plaintiff’s claims against the defendant are DISMISSED
with prejudice.
SO ORDERED AND ADJUDGED this the 7th day of November, 2017.
s/
Louis Guirola, Jr.
LOUIS GUIROLA, JR.
U.S. DISTRICT JUDGE
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